Portal Vein Cannulation During Endoscopic Retrograde Cholangiopancreatography.
- Author:
Chang Lae KIM
1
;
Yeonjung HA
;
Sang Yong OM
;
Wonjun JI
;
Tae Oh KIM
;
Jun Ho CHOI
;
Myung Hwan KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
ERCP;
Complications;
Portal vein
- MeSH:
Aged;
Bile Ducts;
Catheterization*;
Cholangiopancreatography, Endoscopic Retrograde*;
Cholestasis;
Female;
Head;
Humans;
Jaundice, Obstructive;
Mortality;
Pancreas;
Pancreatic Neoplasms;
Plastics;
Portal Vein*;
Stents;
Tomography, X-Ray Computed
- From:Korean Journal of Medicine
2014;86(4):462-465
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 68-year-old woman was admitted to our hospital with obstructive jaundice. Abdominal CT scan demonstrated a mass at the head of the pancreas. The patient was diagnosed as having obstructive jaundice caused by pancreatic cancer. We tried to relieve the bile duct obstruction by ERCP (endoscopic retrograde cholangiopancreatography). After several cannulation attempts, we thought that we had achieved deep cannulation of the bile duct and tried to place a biliary plastic stent. During ERCP, however, we noticed massive air in the portal venous system, indicating possible cannulation of the portal vein. The procedure was terminated immediately and abdominal computed tomography revealed air in the portal venous system. Fortunately, there were no subsequent complications. The air in the portal vein had disappeared, ascertained by CT scan taken 5 days later. The patient underwent surgical resection for pancreatic cancer. Isolated portal vein cannulation per se does not usually result in mortality or serious morbidity.
